Preventive health counseling visit, about 60 minutes

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Prev Med Cnsl&/Rsk Fctr Rdctj Indv Approx 60 Min

Payers reporting CPT 99404

Payer pricing summary

Low

$39

Average

$219

Median

$206

High

$752

Payer rate distribution

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#
1	Cigna fee schedule · both · +25 other terms	61	$197	$212	$160	75%	43	$28 – $1.1k
2	Humana fee schedule · outpatient · +22 other terms	218	$102	$195	$662	340%	—	$17 – $8.3k
3	Blue Cross Blue Shield fee schedule · outpatient · +23 other terms	145	$308	$340	$157	46%	—	$0 – $702
4	UnitedHealthcare fee schedule · outpatient · +29 other terms	119	$108	$120	$70	59%	—	$1 – $419
5	Aetna fee schedule · outpatient · +26 other terms	99	$109	$470	$1.3k	283%	—	$17 – $8.4k
6	Anthem fee schedule · outpatient · +19 other terms	74	$114	$156	$101	65%	—	$17 – $771
7	Molina facility · case rate · outpatient · +19 other terms	41	$83	$98	$53	54%	—	$43 – $249
8	Kaiser fee schedule · outpatient · +14 other terms	33	$114	$155	$113	73%	—	$5 – $523
9	Bcbs Tx fee schedule · outpatient · +3 other terms	30	$403	$370	$136	37%	—	$118 – $681
10	Devoted fee schedule · outpatient · +6 other terms	21	$109	$111	$3	2%	—	$107 – $114
11	Tricare fee schedule · outpatient · +12 other terms	21	$101	$97	$5	5%	—	$91 – $104
12	Caresource facility · case rate · outpatient · +12 other terms	20	$87	$110	$49	45%	—	$53 – $219
13	Medicare fee schedule · outpatient · +3 other terms	18	$114	$114	—	—	—	$114 – $114
14	Aetna Better Health fee schedule · outpatient · +8 other terms	17	$80	$81	$16	19%	—	$50 – $102
15	Regence fee schedule · outpatient · +10 other terms	16	$132	$159	$56	35%	—	$99 – $324
16	Optum facility · case rate · outpatient · +9 other terms	15	$74	$81	$24	29%	—	$41 – $120
17	WellCare case rate · outpatient · +16 other terms	14	$112	$114	$7	6%	—	$102 – $124
18	Wellmark fee schedule · both · +12 other terms	13	$163	$162	$6	4%	—	$128 – $163
19	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$446	$358	$176	49%	—	$97 – $558
20	Bcbs Nj fee schedule · outpatient · +4 other terms	12	$24	$24	—	—	—	$24 – $24
21	Cigna Healthspring fee schedule · outpatient · +1 other terms	12	$108	$108	—	—	—	$108 – $108
22	Highmark fee schedule · outpatient · +11 other terms	12	$113	$113	$5	4%	—	$75 – $143
23	Medcost fee schedule · both · +7 other terms	12	$209	$209	—	—	—	$209 – $209
24	Medica fee schedule · outpatient · +12 other terms	12	$321	$320	$89	28%	—	$147 – $425
25	Medicaid fee schedule · outpatient · +9 other terms	12	$309	$242	$112	46%	—	$1 – $478

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